Office of the Registrar ◊ 1521 16th St NW ◊ Washington, DC 20036 ◊ (202)462-2101 CHANGE OF PROGRAM/SPECIALIZATION REQUEST FORM Instructions: The student requesting a program/specialization change should complete the top two sections of this form and submit it to the Director of Student Affairs for approval. If approved, this form should be forwarded to the Registrar’s Office so the student’s record can be updated. If denied, the Director of Student Affairs will notify the student of the reason for denial. Do not send denied requests to the Registrar’s Office. Note: This form may not be used to request the following program changes: 1) MA candidate that wants to earn a certificate in addition to their M.A.—must complete a Certificate Application form; 2) Certificate candidates looking to pursue an M.A.—must submit M.A. Admission Application; 3) non-degree to degree-seeking Name: _________________________________________ Current Semester: Fall Spring Summer 20__ Last First M.I. (Circle semester) Address: ______________________________________________________________________________ Street City Telephone: ______________________________ State Zip Email: _____________________________ I would like to request the following change: _____ Change of Program _____ Change of Program Specialization (M.A. ONLY) PROGRAM CODES M.A. Programs w/Specializations Strategic Intelligence Studies (SIS.MA) Statecraft & National Security Affairs ▪Intelligence (SNSA.INT.MA) ▪National Security & Defense Studies (SNSA.NSDS.MA) ▪Public Diplomacy & Political Warfare (SNSA.PDPW.MA) Statecraft & International Affairs ▪American Foreign Policy (SWP.AFP.MA) ▪Comparative Political Culture (SWP.CPC.MA) ▪Democracy Building (SWP.DB.MA) ▪International Politics (SWP.IP.MA) Certificate Programs American Foreign Policy (AFP.CERT) Comparative Political Culture (CPC.CERT) Counterintelligence (CINT.CERT) Democracy Building (DB.CERT) Intelligence (INT.CERT) International Politics (IP.CERT) National Security Affairs (NSA.CERT) Public Diplomacy & Political Warfare (PDPW.CERT) Current Program (enter program code from above): ________________________________________ (ex. SNSA.INT.MA or CINT.CERT) I request a change to (enter program code from above): ______________________________________ I hereby authorize The Institute of World Politics to update my records to reflect the above change. Signature: ________________________________________ Date: ________________________ TO BE COMPLETED BY DIRECTOR OF STUDENT AFFAIRS Program Change: □ Approved □ Not Approved □ Approved with the Following Conditions: _______________________________________________________________________________ ______________________________________ Director Signature _______________________ Date